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i <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Buildin Department <br /> ; <br /> Date Received �2_ � .. Phone Contact for•Permitting 1 3 - <br /> Owner's Name C � T Z!: . � Owner Phone Number <br /> Owner's Address 53 �h s� Owner Phone Number <br /> Fee Simple Titleholder Name 1 Owner Phone Number <br /> I � <br /> Fee Simple Titieholder Address I <br /> : � <br /> JOB ADDRESS 3 3 g�� 1. I LOT# � <br />_ SUBDIVISION PARCE I ID# - - <br /> � � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q � COMD,� � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � E,,' I s� , <br /> BUILDING SIZE SQ FOOTAGE � J� HEIGHT I ��r'� <br /> OBUILDING $/ VALUATION IOF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVIC�E Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � <br /> � �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `� <br /> QGAS Q ROOFING Q SPECI LTY 0 OTHER II <br /> i FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO I <br /> ' i <br /> I BUILDER COMPANY � `,� � S . II <br /> SIGNATURE � RE ISTERED Y/ N � FEE CURRE� Y/N � <br /> Address License# <br /> ELECTRICIAM COIMPANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> � <br /> Address License# <br /> PLUMBER COIMPANY <br /> SIGNATURE REC�ISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address Lfcense# <br />� MECHANICAL C IMPANY <br /> SIGNATURE RE�ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N <br /> Address � I License# <br /> I � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set�of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Rgquired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for.sl�bdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Sefety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. R�quired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�7 dumpster.Site Work Permit for�II new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. , <br /> """PROPERTY SURVEY required for all NEW consUu�tion. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer&ConUactor sign back of application,notarized ` <br /> I '• If over a2500,a Notice of Commencement is requlred. (AIC upg iades over;7500) <br /> Agent(for the contraGtor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same <br /> .. :.,�,.. ..._ ._,-.... ,_� . , . . .. .... ..:... �. . :�,�_. <br /> OVER THE COUNTER PERMITTING �:'J;:,(Fronf of.�Application.Only) � _ -•� ,_ ., � i; <br /> Reroofs if shingles Sewers :�' Service'l�lpgrades:�i4/C,� '+.�Fences(PIoUSurvey/Footage) .. . � � . •. �, .. _" � � <br /> Driveways-Not over,Counter�if,on;pUtili,c''roadways..needs��RQW - � � � •� � " ;;�;°.' § <br /> -- - • - t•- . .....,.a<. ,. , �,„_ .�-..,� , .,.,., ..... ......_..M.. ._.._,...w.._.,. ,.�s.�, 4 <br />